Neuropsychological Assessment Forms
Once you have scheduled your intake appointment with Dr. Kaufman, you will need to download and print three forms (one from each section below), complete them, and bring them in to your initial appointment.
1) History Questionnaire (choose one)
- Adult History Questionnaire (ages 18+)
- Adolescent History Questionnaire (ages 13-18)
- Child History Questionnaire (ages 6-12)
- For children ages 6-9, please also complete this additional form
- Child History Questionnaire (ages 3-5)